Evidence map›Paper›PMID 36202580›Full record

ArticleBMJ open2022

Factors associated with poor medication adherence during COVID-19 pandemic among hypertensive patients visiting public hospitals in Eastern Ethiopia: a cross-sectional study.

Lemesa Abdisa, Addisu Alemu, Helina Heluf, Addisu Sertsu, Yadeta Dessie, Belay Negash, Galana Mamo Ayana, Shiferaw Letta

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Lemesa AbdisaSchool of Nursing and Midwifery, Haramaya University College of Health and Medical Sciences, Harar, Ethiopia lemesaabdisa8@gmail.com.ORCID 0000-0002-6912-1025
Addisu AlemuSchool of Public Health, Haramaya University College of Health Sciences, Harar, Ethiopia.
Helina HelufSchool of Nursing and Midwifery, Haramaya University College of Health and Medical Sciences, Harar, Ethiopia.
Addisu SertsuSchool of Nursing and Midwifery, Haramaya University College of Health and Medical Sciences, Harar, Ethiopia.
Yadeta DessieSchool of Public Health, Haramaya University College of Health Sciences, Harar, Ethiopia.
Belay NegashSchool of Public Health, Haramaya University College of Health Sciences, Harar, Ethiopia.
Galana Mamo AyanaEpidemiology and Biostatistics, Haramaya University College of Health and Medical Sciences, Harar, Ethiopia.
Shiferaw LettaSchool of Nursing and Midwifery, Haramaya University College of Health and Medical Sciences, Harar, Ethiopia.
Haramaya University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to assess factors associated with poor medication adherence during the COVID-19 pandemic among hypertensive patients visiting public hospitals in Eastern Ethiopia.

settingHospital-based cross-sectional study was conducted in Harari regional state and Dire Dawa Administration from 1 January to 30 February 2022. Both settings are found in Eastern Ethiopia.

participantsA total of 402 adult hypertensive patients who visited the chronic diseases clinic for follow-up were included in the study.

main outcome measuresThe main outcome measure was poor medication adherence during the COVID-19 pandemic.

resultsThe level of poor antihypetensive medication adherence was 63% (95% CI 48.1 to 67.9). Patients who had no formal education (adjusted OR (AOR)=1.56, 95% CI 1.03 to 4.30), existing comorbid conditions (AOR=1.98, 95% CI 1.35 to 4.35), self-funded for medication cost (AOR=2.05, 95% CI 1.34 to 4.73), poor knowledge about hypertension (HTN) and its treatment (AOR=2.67, 95% CI 1.45 to 3.99), poor patient-physician relationship (AOR=1.22, 95% CI 1.02 to 4.34) and unavailability of medication (AOR=5.05, 95% CI 2.78 to 12.04) showed significant association with poor medication adherence during the pandemic of COVID-19.

conclusionThe level of poor antihypertensive medication adherence was high in this study. No formal education, comorbidity, self-funded medication cost, poor knowledge about HTN and its treatment, poor patient-physician relationship, and unavailability of medication during the COVID-19 pandemic were factors significantly associated with poor adherence to antihypertensive medication. All stakeholders should take into account and create strategies to reduce the impact of the COVID-19 pandemic on medication adherence of chronic diseases.

Indexed as

COVID-19HypertensionAdultAntihypertensive AgentsChronic DiseaseCross-Sectional StudiesEthiopiaHealth Knowledge, Attitudes, PracticeHospitals, PublicHumansMedication AdherencePandemicsAntihypertensive Agentsadult cardiologycardiac epidemiologyCOVID-19

Identifiers

PMID36202580
PMCPMC9539650
OpenAlexW4303512351

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.